The iliac crest free flap is a reliable source of cancellous bone, muscle, and skin. The vascularization of this flap arises from the deep circumflex iliac artery (DCIA) which allegedly is always present. The authors report a unique case of successful microvascular transplantation of an iliac crest osteomyocutaneous free flap in a patient in whom the DCIA and DCIV were absent.
KEYWORDS
Deep circumflex iliac artery - free flap - mandibular reconstruction
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J. J HageM.D. Ph.D.
Department of Plastic and Reconstructive Surgery, Netherlands Cancer Institute / Antoni van Leeuwenhoek Hospital
Plesmanlaan 121
NL-1066 CX Amsterdam, The Netherlands
